Summary

7 facilities within 25 miles of Roanoke publish prices for Hemoglobin A1C. Cash prices range from $49 to $290 — a 5.9x difference for an identical procedure. The Virginia average is $104.

Choosing the lowest-priced facility over the highest saves $241. The lowest-priced facility (Carilion New River Valley Medical Center) has a 4-star CMS quality rating — lower price does not mean lower quality.

$49 lowest
$290 highest
Best Value

Carilion New River Valley Medical Center

Christiansburg, VA · Carilion Clinic · 0.1 mi

$49 Cash price
4/5 CMS rating
69.0% Patient satisfaction

Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 69%. Cash price of $49 is below the statewide average of $104.

All facilities ranked by price

1
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$49
2
Carilion Franklin Memorial Hospital 4★ · 19.0 mi · Nonprofit
$49
3
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$78
4
Carilion Rockbridge Community Hospital 3★ · 0.1 mi · Nonprofit
$78
5
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$83
6
Sovah Health Danville 2★ · 0.1 mi · For-profit
$98
7
Lewisgale Medical Center 2★ · 0.1 mi · For-profit
$290
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $49 $140 2.86x 4/5 69.0% Nonprofit
2 Carilion Franklin Memorial Hospital Carilion Clinic Rocky Mount, VA · 19.0 mi $49 $140 2.86x 4/5 Nonprofit
3 Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi $78 $224 2.86x 4/5 83.0% Nonprofit
4 Carilion Rockbridge Community Hospital Carilion Clinic Lexington, VA · 0.1 mi $78 $224 2.86x 3/5 75.0% Nonprofit
5 Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi $83 $166 2.0x 3/5 71.0% Nonprofit
6 Sovah Health Danville Danville, VA · 0.1 mi $98 $245 2.5x 2/5 59.0% For-profit
7 Lewisgale Medical Center HCA Virginia Salem, VA · 0.1 mi $290 $290 1.0x 2/5 57.0% For-profit

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Hemoglobin A1C. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Carilion New River Valley Medical Center

Cash: $49
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $10 -$39
Sentara Health Plan Managed Medicaid $10 -$39
UnitedHealthcare Managed Medicaid $11 -$38
ABH of VA (formerly Coventry) Managed Medicaid $11 -$38
Humana Managed Medicaid $11 -$38
Aetna Commercial $71 +$22
Aetna Choice POS II $73 +$24
Gateway - Tier 3 Commercial $77 +$28
Sentara Health Plan Commercial $87 +$38
VHN - ULTRA Commercial $87 +$38
Connecticare Commercial $98 +$49
Cigna Commercial $101 +$52
UnitedHealthcare Commercial $101 +$52
VHN - PLUS Commercial $108 +$59

5 additional plans not shown.

Carilion Franklin Memorial Hospital

Cash: $49
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $10 -$39
Sentara Health Plan Managed Medicaid $10 -$39
ABH of VA (formerly Coventry) Managed Medicaid $11 -$38
UnitedHealthcare Managed Medicaid $11 -$38
Humana Managed Medicaid $11 -$38
Aetna Choice POS II $73 +$24
Gateway - Tier 3 Commercial $77 +$28
VHN - ULTRA Commercial $87 +$38
Sentara Health Plan Commercial $87 +$38
Aetna Commercial $93 +$44
Connecticare Commercial $98 +$49
Cigna Commercial $101 +$52
VHN - PLUS Commercial $108 +$59
VHN Commercial $112 +$63

5 additional plans not shown.

Carilion Giles Community Hospital

Cash: $78
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $10 -$68
Sentara Health Plan Managed Medicaid $10 -$68
ABH of VA (formerly Coventry) Managed Medicaid $11 -$68
Humana Managed Medicaid $11 -$68
UnitedHealthcare Managed Medicaid $11 -$68
Aetna Choice POS II $116 +$38
Gateway - Tier 3 Commercial $123 +$45
Sentara Health Plan Commercial $139 +$60
VHN - ULTRA Commercial $139 +$60
Aetna Commercial $149 +$70
Cigna Commercial $151 +$73
Connecticare Commercial $157 +$78
UnitedHealthcare Commercial $161 +$83
VHN - PLUS Commercial $172 +$94

5 additional plans not shown.

Carilion Rockbridge Community Hospital

Cash: $78
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $10 -$68
Sentara Health Plan Managed Medicaid $10 -$68
Humana Managed Medicaid $11 -$68
ABH of VA (formerly Coventry) Managed Medicaid $11 -$68
UnitedHealthcare Managed Medicaid $11 -$68
Aetna Choice POS II $116 +$38
Gateway - Tier 3 Commercial $123 +$45
VHN - ULTRA Commercial $139 +$60
Sentara Health Plan Commercial $139 +$60
Aetna Commercial $149 +$70
Connecticare Commercial $157 +$78
UnitedHealthcare Commercial $161 +$83
Gateway - Tier 2 Commercial $179 +$101
VHN - PLUS Commercial $179 +$101

7 additional plans not shown.

Sentara Halifax Regional Hospital

Cash: $83
Insurance Plan Negotiated Rate vs Cash
Sentara Health Plan Medicare Managed Care Plan $8 -$75
Humana Medicare Managed Care Plan $10 -$73
Blue Cross Blue Shield Anthem Medicare Managed Care Plan $10 -$73
UnitedHealthcare Snp Medicare Managed Care Plan $10 -$73
Sentara Health Plan Exchange $13 -$70
Sentara Health Plan Hmo/Pos $13 -$70
Sentara Health Plan Ppo $13 -$70
UnitedHealthcare All Commercial Plans $16 -$67
Blue Cross Blue Shield Anthem Exchange $19 -$64
Blue Cross Blue Shield Anthem Hmo $20 -$63
Blue Cross Blue Shield Anthem Ppo $21 -$62

Lewisgale Medical Center

Cash: $290
Insurance Plan Negotiated Rate vs Cash
TriAtlantic TRICR $8 -$282
Health Net TRICR $9 -$281
Humana TRCR $10 -$280
UnitedHealthcare AllPayerAppendix $10 -$280
Aetna MGMCR $10 -$280
Devoted MCR $10 -$280
Good Samaritan Hospice COMM $10 -$280
Humana MCR $10 -$280
Sentara Health MCR $10 -$280
UnitedHealthcare VACCN $10 -$280
UnitedHealthcare MCR $10 -$280
UnitedHealthcare MGMCR $10 -$280
Virginia Premier Health MGMCR $10 -$280
Anthem MGMCR $10 -$280
Cigna MCR $10 -$280

27 additional plans not shown.

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Hemoglobin A1C (CPT 83036). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Carilion New River Valley Medical Center Nonprofit Call billing, request Financial Assistance application
Carilion Franklin Memorial Hospital Nonprofit Call billing, request Financial Assistance application
Carilion Giles Community Hospital Nonprofit Call billing, request Financial Assistance application
Carilion Rockbridge Community Hospital Nonprofit Call billing, request Financial Assistance application
Sentara Halifax Regional Hospital Nonprofit Call billing, request Financial Assistance application
Sovah Health Danville For-profit N/A (for-profit)
Lewisgale Medical Center For-profit N/A (for-profit)

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.